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HomeMy WebLinkAboutPermit Plumbing 1998-04-02PRI IIESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office: 726-3759 I-OCATION OF PROPOSED WORK: ,\SSESSORS MAP:o ?rOSg LOT BLOCK: JOB NUMBER 225 Fifth Street Springfleld, Oregon 97477 TAX LOT h 7a-12 SUBDIVISION: _ iF PHONEIt ZlPi F! 7a 1of +t=.{-72CITYr ADDRESS: OWNER: It ADDITION DEMOLISH OTHER DESCRIBE WORK: NEW-_ REMODEL ADDRESS L r EXPIRES 1 PHONE CONTRACTOR'S NAME PLUMBING: GENERAL: MECHANICAL: ELECTRICAL CONST. CONTRACTOR # - OFFICE USE - LAND USE: FIANGE: QUAD AREA: r OF BLDGS:FLOOD PLAIN; ZONING CODE: SECONDABY HEAI: SQUAHE FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: # OF UNITS:_ WATEB HEATER:- To request an lnspectlon, you must cmade the same worklng c,ay, lnspect [--l remporary Etectrlc SIle lnspectlon _ To be madcaft.er excavailon, but prlor tosettlng forms. fl:5:,1L'" i Itsi :7 i 5, ::yi;",, l-99!tng - After rrenches areexcavated. Masonry - Steel locailon, bondbeems, gicuilnO. Underlloor plumblng/ Mechanlcat - Ynot to lnsulailon or decklng. Post. and Beam - prlor to floorrnsutailon or decklng. Floor lnsulation - prlor todecklng. R EQUIRED INSPECTIONS Rough Mechantcal _ prlor tocover. !-oueh Electrlcat _ prlor tocover. ^el1c-11tca.l .servtce _ Must be lper.oyed. to obtaln permanentotectrlcal power. !lgpt."9" - prtor to factngmaterlats and framlng lnspl Framlng - prlor to cover. W-alllCelllng lnsulatton _ prlor tocover. Drywall - prlor to taplng. Wood Stovo - Altor lnstallallon. lnsert - After flreplace approvaland lnstallaflon ol'unlt. Curbcut & Approach _ Afterrorms are erected but prlor lopracemcnt of concrete. , Plumblng - When allorng worl< is complete. all 726.3 lons req 769. Thls ls a 24 hour recorc,lng. Alluested after 7:00 a.m. wlll be.made requested before 7100 a.m. wfl beg work day. lnspections the followin --rffi,,;"Xrji[il] Flnal Mechanlcal _ When allmechanlcal work ls complete. FiiiSJiAnB;"yJ it#, 0"" ^approved and bulldino lscompleted. plum OtherE ii*t3;,f:;l ;, #tr J:tT;,1" ffi"d PJumbrns - Prror llary Sewer - prlor to f llllng Slorm Sewer - prlor to fllllng'trench. Water Llne - prlor to filllngtrench. Rough Plumblng - prlor tocover. Sldewalk & Drlveway _ Afterexcavailon ls complete, formsand sub-base malerlal in place. Fence - lVhen coi-rrpleted. MOBILE HOME INSPE TIONS [-l Blocklng and Ser.Up _ When ail - blocklng ls compleie. Plumblng Connectlons _ Whenhome has been connected towater and sewer. Eleclrlcal Connection _ .When Pl9:I119, ser.up, and ptumbtnjtnspecilons have been approvidand the .home is connected torne servlce panel. f-] ^rStreet Trees - When ail requtred - f rees are planted. Flnal - After all requiredrnspecilons are approved andporc.hes, sklrting, decks, andventlng have been lnstalled. r=] i\STATE: €''(?>en- l E E E tl tlEtltl IJ tlE fl P,L.HSE GAR ACC N S E Lot faces Lot sq. ftg. Lot coverage Topography Total helght Lot Tyr - lnterior - Corner - Panhandle - Cul-de-sac IS THE PROPOSED WORK TN THE . HISTORICAL DISTRICT, ON OT.T THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the H istorlcal Coordinator prlor to permit issuance. APPROVED: This permit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City ot Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Plans Beviewed BY(A)Date ,:. Plan Check Fee: Date Paid: Beceived BY Total Value Building Permit Fee State Surcharge Total Fee Receipt Number:- X $/SO. FT. = VALUE BUTLDING VALUE, PLAN CHECK AND BUILDING PERMIT BUILDING PERMIT ITEM SO. FT. Main Garage Carport Systems Development Charge is due on all undeveloped properties within tlre City limits which are being lmproved'SYSTEMS DEVELOPMENT CHARGE (SDC) (B) lTEM Flxtures Flesidential Bath(s) SanitarY Sewer Water Storm Sewer Moblle Home PLUMBING PERMIT FEE Nt ao 3??zly 1,70 {r FT FT. Z? 2r ( r''(c) Plumblng Permlt State Surcharge Total Charge Wood Stove/ lnsert/ Flreplace Unit Dryer Vent MECHANICAL PERMIT (D) No Mechanical Permit lssuance State Surcharge Total Permit Furnace Exhaust Hood Vent Fan By slgnature, I state and agree, that I have caref ully examlned the completed application and do hereby certlfy that all lnformatlonhereonistrueanclcorrect,andlfurthercertlly that any and all work performed shall be done in accordance with the ordinances of the City of Spr|ngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed herein, and that NO OCCUPANCY will be made of any str'.tcture without permission r:f the Building Saiety Division' I further certify that only contractors and employees who are ln compliance with ORS 701'055 will be used on thls proiect. I further agree to ensure that all required lnspections are requested at the proper tlme, that each addiess ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remaln constructlon.duon the site at Slgnature ti Date MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge Sidewalk - {t Curbcut -- ft Demolition State Surcharge (E) :$ Total Misiellaneous Permits )a a VALIDATION RECEIPT NUMBER DATE PAID AMOUNT RECEIVE.D RECEIVED BYTOTAL AMOUNT DUE (excluding electrical) (A, B, C, O and E Combined) , :--lrr a'i':,'. r. .rl , ADDITIONAL COI/IMENTS ,r. 6; /